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- Title
Socioeconomic and geographic determinants of survival of patients with digestive cancer in France.
- Authors
Dejardin, O.; Remontet, L.; Bouvier, A. M.; Danzon, A.; Trétarre, B.; Delafosse, P.; Molinié, F.; Maarouf, N.; Velten, M.; Sauleau, E. A.; Bourdon-Raverdy, N.; Grosclaude, P.; Boutreux, S.; De Pouvourville, G.; Launoy, G.; Trétarre, B; Molinié, F
- Abstract
Using a multilevel Cox model, the association between socioeconomic and geographical aggregate variables and survival was investigated in 81 268 patients with digestive tract cancer diagnosed in the years 1980-1997 and registered in 12 registries in the French Network of Cancer Registries. This association differed according to cancer site: it was clear for colon (relative risk (RR)=1.10 (1.04-1.16), 1.10 (1.04-1.16) and 1.14 (1.05-1.23), respectively, for distances to nearest reference cancer care centre between 10 and 30, 30 and 50 and more than 90 km, in comparison with distance of less than 10 km; P-trend=0.003) and rectal cancer (RR=1.09 (1.03-1.15), RR=1.08 (1.02-1.14) and RR=1.12 (1.05-1.19), respectively, for distances between 10 and 30 km, 30 and 50 km and 50 and 70 km, P-trend=0.024) (n=28 010 and n=18 080, respectively) but was not significant for gall bladder and biliary tract cancer (n=2893) or small intestine cancer (n=1038). Even though the influence of socioeconomic status on prognosis is modest compared to clinical prognostic factors such as histology or stage at diagnosis, socioeconomic deprivation and distance to nearest cancer centre need to be considered as potential survival predictors in digestive tract cancer.
- Subjects
FRANCE; DIGESTIVE organ cancer; CANCER patients -- Social conditions; CANCER prognosis; COLON cancer; SURVIVAL; RESEARCH; RESEARCH methodology; ACQUISITION of data; PROGNOSIS; EVALUATION research; SOCIOECONOMIC factors; COMPARATIVE studies; DIGESTIVE organs; TUMORS; PATIENT care
- Publication
British Journal of Cancer, 2006, Vol 95, Issue 7, p944
- ISSN
0007-0920
- Publication type
journal article
- DOI
10.1038/sj.bjc.6603335